PELICAN PLAZA OPTICAL NPI 1023295763

NPI Information

  • NPI: 1023295763
  • Provider Name: PELICAN PLAZA OPTICAL
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • Address: 8390 S TAMIAMI TRL
    SARASOTA, FL
    ZIP 34238
  • Phone: (941) 966-1559

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NPI Details

PELICAN PLAZA OPTICAL is a durable medical equipment medical supplies in Sarasota, FL. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. PELICAN PLAZA OPTICAL NPI is 1023295763. The provider is registered as an organization entity type.

The provider's business location address is:

8390 S TAMIAMI TRL
SARASOTA, FL
ZIP 34238-934
Phone: (941) 966-1559
Fax: (941) 966-1559

The provider's authorized official is John Grondahl .
The authorized official title is Optician/owner and has the following contact phone number (941) 966-1559.

The enumeration date for this NPI number is 1/24/2008 and was last updated on 3/24/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1335E00000XProsthetic/Orthotic Supplier3259FLORIDANo
2332B00000XDurable Medical Equipment & Medical Supplies3259FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10897930001MEDICARE PINFLORIDA
20897930001MEDICARE NSCFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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